Labiaplasty – Reshape & Enhance Vaginal Appearance
Labiaplasty, also called Labia Plasty, is a cosmetic surgical procedure that reshapes and reduces the size of the labia minora or labia majora. It helps address discomfort during physical activities, improves intimate aesthetics, and enhances self-confidence.
Labiaplasty
Labiaplasty is a surgery that reshapes or reduces the size of the labia minora (the inner folds of skin around the vagina and urethra). Some people choose this procedure because extra skin can cause pain or discomfort during exercise, physical activities, or sex. Others may choose it for cosmetic reasons, to change how the area looks.
What is labiaplasty?
Labiaplasty is a type of surgery that changes the size or shape of the labia — the folds of skin around the opening of the vagina. Some people have this surgery to make their labia smaller, others to make them larger, or as part of reconstructive surgery. Sometimes it’s also done for cosmetic reasons, but it’s important to know that labia come in many shapes and sizes — there’s no one “normal” look.
You have two sets of labia:
Labia majora (outer lips): The larger, fleshy folds that protect your genital organs and grow pubic hair after puberty.
Labia minora (inner lips): The smaller folds that protect the urethra (where pee comes out) and the vagina.
During labiaplasty, your surgeon might:
Remove extra tissue to make the labia smaller.
Add fat or filler to make them fuller.
Reconstruct the labia using other tissue.
Why do people get labiaplasty?
Medical or physical reasons:
To reduce extra labial tissue that can twist, tug, or get pinched during activities like biking, running, or sex.
To make cleaning easier and lower the risk of infections, like UTIs.
Cosmetic or emotional reasons:
To even out labia that are different in size or shape.
To feel more comfortable, confident, or satisfied with appearance during intimacy.
Reconstructive reasons:
To repair or create labia after injury, surgery, or as part of gender-affirming surgery.
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What can cause enlarged labia?
Puberty growth changes.
Pregnancy and childbirth.
Menopause or hormonal changes (which can thin tissue).
Weight changes.
Genetics.
What is the average age for labiaplasty?
Most people who have labiaplasty are between 18 and 50 years old. Doctors often recommend waiting until after you’ve finished having children, since pregnancy and childbirth can stretch the labia again.
Children may only have labiaplasty if large labia cause daily problems or discomfort.
Treatment Details: Labiaplasty
Before Surgery
You’ll meet with your surgeon to talk about why you want the surgery, your goals, and possible risks.
They may ask about your mental health (like anxiety or depression) to be sure the procedure is right for you.
Your surgeon will explain how the surgery is done and what changes to expect.
You may have some tests (blood work, urine test, chest X-ray).
You’ll get instructions on:
What to wear to the procedure.
When to stop eating or drinking.
If you need to pause or adjust any medications.
On the Day of Surgery
You’ll change into a gown, and your vital signs (blood pressure, heart rate, oxygen, etc.) will be checked.
An IV will be placed in your arm or hand, and sometimes a catheter is used.
The area will be cleaned, and the pubic hair may be shaved.
Anesthesia is given — either local (numbing) with sedation or general anesthesia (you’re asleep).
The surgeon will use a scalpel, scissors, or laser depending on the method.
Types of procedures:
Reduction (making the labia smaller):
Trim procedure: removes extra tissue from the outer edge.
Wedge procedure: removes a small, pie-shaped piece of tissue from inside the labia, keeping a natural edge.
Enlargement (making the labia fuller):
Fat transfer (fat taken from another part of your body, like the stomach or thigh).
Hyaluronic acid injections (filler).
Reconstructive surgery:
For gender-affirming or repair surgery, tissue may be used to create or reshape labia.
All cuts are closed with dissolvable stitches and covered with a dressing.
How Long Does It Take?
Most labiaplasty procedures take less than 2 hours and are done as outpatient surgery (you go home the same day).
Reconstructive surgeries may take longer.
After Surgery
Your catheter (if used) will be removed.
The medical team checks for bleeding or other issues.
Before you leave, you’ll get instructions about:
How to care for your stitches.
Pain management.
Activities to avoid while healing.
When to return for follow-up visits.
Risks and Complications of Labiaplasty
Although complications are rare, they can sometimes occur. Possible risks include:
Removing too much or too little tissue.
Bleeding or bruising (hematoma).
Infection.
Wound breakdown or slow healing.
Scarring.
Long-term pain, pain during sex, or reduced sensitivity.
Recovery and Pain Management
Is labiaplasty painful?
Some swelling, discomfort, and mild pain are normal after surgery, but these are usually manageable. Most people report only mild tenderness for a few days.
Pain management options include:
Over-the-counter medicines like acetaminophen (Tylenol®) or prescribed medication (if needed).
Cold compresses or ice packs (20 minutes on, 20 minutes off, with a cloth barrier) to reduce swelling and pain.
Wearing loose-fitting clothing and undergarments to avoid friction and allow proper healing.
Infection prevention:
Your doctor may prescribe oral antibiotics or topical creams to protect the wound from infection.
With proper care, most patients recover well with minimal discomfort.
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Frequently Asked Questions
Labiaplasty is a surgical procedure that reduces or reshapes the labia minora (inner vaginal lips) to improve comfort or appearance.
Women who experience discomfort, irritation, or self-consciousness due to enlarged or uneven labia may consider this surgery.
It can be done for both. Some choose it to relieve pain or irritation, while others want it for aesthetic reasons.
The surgery usually takes 1–2 hours and is performed under local or general anesthesia.
Most women return to normal daily activities within a week, but complete healing may take 4–6 weeks.
Mild pain, swelling, and discomfort are common but can be managed with medications and cold compresses.
Possible risks include bleeding, infection, scarring, uneven results, or changes in sensitivity, though these are rare.
It’s generally recommended to wait at least 4–6 weeks before resuming sexual activity or intense exercise to ensure proper healing.
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